Guest guest Posted October 14, 2004 Report Share Posted October 14, 2004 >you wrote: >Most Medical Centers will not treat brain injury because >> > it is not one of the 14 indications approved by Medicare >> > , based on their consideration that not enough good >> > studies exist that prove that HBOT is effective in brain >> > injury. Medical Centers can only use HBOT for approved >> > indications unless the specific " Off Label " treatment >> > has been approved by the Center's Investigative Review >> Board (IRB). IRB's are typically composed of very >> > conservative physicians. It's not about money, , >> > it's about risk. In this >> > era of " evidence based medicine " , there is only one >> > study that I >> > know of, published by Col. Fitzpatrick about 5 >> > years ago, at the Eisenhower Army Medical Center, >> > showing that HBOT definitively helps with Cerebral >> > Palsy. The recent Canadian study wasn't much help. > >Dr. Sprague, as far as evidence based medicine and studies, >only 4 or 5 of the 14 indications approved by the UHMS had a > " study " . They passed the others simply by sitting around a >table and saying OK, we will approve this one. They could >do the same for brain injury. The Canadian study >absolutely proved that hbot works for CP. In fact, it >proved lower pressures and lower oxygen amounts also produce >results. It was indeed a farce by more medical >professionals thinking they would prove hbot would not work >for cp and it backfired on them. It showed that all >pressures worked. There was NO plecebo group to compare it >with. > > Hartsoe >www.miraclemountain.org Dr. Sprague, The Medicare list of the first 13 indicatons originated from the leadership of the UHMS--who also created the list of noncovered indications. An article was published in *Hyperbaric Medicine Today* (HMT) which details the history of the " covered " and " noncovered " indications. You can download it from http://www.oxyhealth.com/images/noncovered.pdf . The 14th indication for diabetic foot wounds was approved primarily because of the data submitted by IHMA leadership. The data consisted of some 129 articles published in peer-reviewed medical journals over the last 30 years. Adding that one indication has saved the federal government hundreds of millions of dollars in the last two years or so and has created immeasurable credibility for the IHMA with Medicare/CMS while diminishing beyond words whatever credibility the UHMS still had with Medicare/CMS. This circumstance is forcing CMS to finally recognize that when Medicare and Medicaid were created, hospitals (for the most part) were not-for-profit institutions. This is no longer the case. Hospitals are now businesses, and they are most interested in maximizing revenue. For a diabetic with a foot wound, a hospital can realize $150,000 with an amputation, fitting for a prosthetic, and a year or so worth of rehab therapy. Plus, the whole process will probably be repeated with the second foot. However, if the hospital instead provides $20,000 worth of Hyperbaric Oxygen Therapy to save the foot, the hospital's revenue is just over 10% of what it would be for the amputation route. Plus the second foot is also saved. Because the vast majority of hyperbaric clinics are in hospitals, those same clinics are working for the hospital--which means they have the same goals of the hospital--to maximize revenue. It's also quite true that the UHMS dictates to the hospital-based hyperbaric clinics what indications they will or will not treat--at a cost that's generally 500% to 1000% greater than the same treatment offered at free-standing clinics. And you better believe that CMS is looking very, very closely at all of this. As for the Canadian study and the subsequent fallout from its publication, the next issue of HMT contains a series of articles which paints a fairly clear picture confirming 's view that the approval process for new indications has little to do with science and everything to do with politics and the politics of medicine. Included is an interview with Dr. Pierre Marois on what really happened in the Collet study. It's absolutely unbelieveable. There's also a an article about the distorted presentation on HBOT given by United Cerebral Palsy (UCP), and the current efforts by UCP to produce an HBOT-for-cp study which is designed to fail. -- Freels 2948 Windfield Circle Tucker, GA 30084-6714 770-491-6776 (phone) 720-234-5757 (fax) mailto:dfreels@... http://www.freelanceforum.org/df Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 14, 2004 Report Share Posted October 14, 2004 , Your letter illustrates exactly what I was trying to say about getting the government OUT of the medical business. There is no free market pressure on healthcare, and I believe it would change it drastically for the better. Thank you sooo very much for all your continued efforts on our behalf. They do not go unnoticed or unappreciated! Donna Bateman On Thu, 14 Oct 2004 08:25:10 -0400, Freels <dfreels@...> wrote: > >you wrote: > >Most Medical Centers will not treat brain injury because > >> > it is not one of the 14 indications approved by Medicare > >> > , based on their consideration that not enough good > >> > studies exist that prove that HBOT is effective in brain > >> > injury. Medical Centers can only use HBOT for approved > >> > indications unless the specific " Off Label " treatment > >> > has been approved by the Center's Investigative Review > >> Board (IRB). IRB's are typically composed of very > >> > conservative physicians. It's not about money, , > >> > it's about risk. In this > >> > era of " evidence based medicine " , there is only one > >> > study that I > >> > know of, published by Col. Fitzpatrick about 5 > >> > years ago, at the Eisenhower Army Medical Center, > >> > showing that HBOT definitively helps with Cerebral > >> > Palsy. The recent Canadian study wasn't much help. > > > >Dr. Sprague, as far as evidence based medicine and studies, > >only 4 or 5 of the 14 indications approved by the UHMS had a > > " study " . They passed the others simply by sitting around a > >table and saying OK, we will approve this one. They could > >do the same for brain injury. The Canadian study > >absolutely proved that hbot works for CP. In fact, it > >proved lower pressures and lower oxygen amounts also produce > >results. It was indeed a farce by more medical > >professionals thinking they would prove hbot would not work > >for cp and it backfired on them. It showed that all > >pressures worked. There was NO plecebo group to compare it > >with. > > > > Hartsoe > >www.miraclemountain.org > > > > Dr. Sprague, > > The Medicare list of the first 13 indicatons originated from the > leadership of the UHMS--who also created the list of noncovered > indications. An article was published in *Hyperbaric Medicine Today* > (HMT) which details the history of the " covered " and " noncovered " > indications. You can download it from > http://www.oxyhealth.com/images/noncovered.pdf . > > The 14th indication for diabetic foot wounds was approved primarily > because of the data submitted by IHMA leadership. The data consisted > of some 129 articles published in peer-reviewed medical journals over > the last 30 years. Adding that one indication has saved the federal > government hundreds of millions of dollars in the last two years or > so and has created immeasurable credibility for the IHMA with > Medicare/CMS while diminishing beyond words whatever credibility the > UHMS still had with Medicare/CMS. > > This circumstance is forcing CMS to finally recognize that when > Medicare and Medicaid were created, hospitals (for the most part) > were not-for-profit institutions. This is no longer the case. > Hospitals are now businesses, and they are most interested in > maximizing revenue. For a diabetic with a foot wound, a hospital can > realize $150,000 with an amputation, fitting for a prosthetic, and a > year or so worth of rehab therapy. Plus, the whole process will > probably be repeated with the second foot. > > However, if the hospital instead provides $20,000 worth of Hyperbaric > Oxygen Therapy to save the foot, the hospital's revenue is just over > 10% of what it would be for the amputation route. Plus the second > foot is also saved. > > Because the vast majority of hyperbaric clinics are in hospitals, > those same clinics are working for the hospital--which means they > have the same goals of the hospital--to maximize revenue. > > It's also quite true that the UHMS dictates to the hospital-based > hyperbaric clinics what indications they will or will not treat--at a > cost that's generally 500% to 1000% greater than the same treatment > offered at free-standing clinics. > > And you better believe that CMS is looking very, very closely at all of > this. > > As for the Canadian study and the subsequent fallout from its > publication, the next issue of HMT contains a series of articles > which paints a fairly clear picture confirming 's view that the > approval process for new indications has little to do with science > and everything to do with politics and the politics of medicine. > > Included is an interview with Dr. Pierre Marois on what really > happened in the Collet study. It's absolutely unbelieveable. There's > also a an article about the distorted presentation on HBOT given by > United Cerebral Palsy (UCP), and the current efforts by UCP to > produce an HBOT-for-cp study which is designed to fail. > -- > > > Freels > 2948 Windfield Circle > Tucker, GA 30084-6714 > 770-491-6776 (phone) > 720-234-5757 (fax) > mailto:dfreels@... > > http://www.freelanceforum.org/df > > > _._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._. > Join the International Hyperbaric Medical Association > http://www.hyperbaricmedicalassociation.org/docs/JOIN_Friends_Apr04.pdf > > EPSDT decisions http://healthlaw.org/pubs/200308.epsdtdocket.html > > Unrestricted downloads of 50+ pdf files on HBOT efficacy > medicaid/files/ , > 2/files/ and > http://www.drneubauerhbo.com/papers.htm > > Download your state EPSDT program > http://www.hcfa.gov/medicaid/stateplan/Map.asp by doing a search on the word > " ameliorate " . State Medicaid websites > http://www.medi-cal.ca.gov/RelSites_Oth_States.asp . Medicaid waiver > programs: http://www.geocities.com/HotSprings/Villa/1029/medicaid.html > > Find a hyperbaric clinic http://www.netnet.net/mums/hbolistAK-FL.htm, > http://www.netnet.net/mums/hbolistGA-NC.htm, > http://www.netnet.net/mums/hbolistOH-WI.htm > > HBOT can save billions of dollars and millions of heartaches. Subscribe to > by sending a blank email to > mailto:medicaid-subscribe > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 14, 2004 Report Share Posted October 14, 2004 In a message dated 10/14/04 8:25:34 AM, dfreels@... writes: > The 14th indication for diabetic foot wounds was approved primarily > because of the data submitted by IHMA leadership. > That means all the data submited by U.H.M.S. had nothing to do with the approval? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 14, 2004 Report Share Posted October 14, 2004 Acute traumatic peripheral ischemia, is this a stroke? blue shield will cover this dx....hmm? Freels <dfreels@...> wrote: >you wrote: >Most Medical Centers will not treat brain injury because >> > it is not one of the 14 indications approved by Medicare >> > , based on their consideration that not enough good >> > studies exist that prove that HBOT is effective in brain >> > injury. Medical Centers can only use HBOT for approved >> > indications unless the specific " Off Label " treatment >> > has been approved by the Center's Investigative Review >> Board (IRB). IRB's are typically composed of very >> > conservative physicians. It's not about money, , >> > it's about risk. In this >> > era of " evidence based medicine " , there is only one >> > study that I >> > know of, published by Col. Fitzpatrick about 5 >> > years ago, at the Eisenhower Army Medical Center, >> > showing that HBOT definitively helps with Cerebral >> > Palsy. The recent Canadian study wasn't much help. > >Dr. Sprague, as far as evidence based medicine and studies, >only 4 or 5 of the 14 indications approved by the UHMS had a > " study " . They passed the others simply by sitting around a >table and saying OK, we will approve this one. They could >do the same for brain injury. The Canadian study >absolutely proved that hbot works for CP. In fact, it >proved lower pressures and lower oxygen amounts also produce >results. It was indeed a farce by more medical >professionals thinking they would prove hbot would not work >for cp and it backfired on them. It showed that all >pressures worked. There was NO plecebo group to compare it >with. > > Hartsoe >www.miraclemountain.org Dr. Sprague, The Medicare list of the first 13 indicatons originated from the leadership of the UHMS--who also created the list of noncovered indications. An article was published in *Hyperbaric Medicine Today* (HMT) which details the history of the " covered " and " noncovered " indications. You can download it from http://www.oxyhealth.com/images/noncovered.pdf . The 14th indication for diabetic foot wounds was approved primarily because of the data submitted by IHMA leadership. The data consisted of some 129 articles published in peer-reviewed medical journals over the last 30 years. Adding that one indication has saved the federal government hundreds of millions of dollars in the last two years or so and has created immeasurable credibility for the IHMA with Medicare/CMS while diminishing beyond words whatever credibility the UHMS still had with Medicare/CMS. This circumstance is forcing CMS to finally recognize that when Medicare and Medicaid were created, hospitals (for the most part) were not-for-profit institutions. This is no longer the case. Hospitals are now businesses, and they are most interested in maximizing revenue. For a diabetic with a foot wound, a hospital can realize $150,000 with an amputation, fitting for a prosthetic, and a year or so worth of rehab therapy. Plus, the whole process will probably be repeated with the second foot. However, if the hospital instead provides $20,000 worth of Hyperbaric Oxygen Therapy to save the foot, the hospital's revenue is just over 10% of what it would be for the amputation route. Plus the second foot is also saved. Because the vast majority of hyperbaric clinics are in hospitals, those same clinics are working for the hospital--which means they have the same goals of the hospital--to maximize revenue. It's also quite true that the UHMS dictates to the hospital-based hyperbaric clinics what indications they will or will not treat--at a cost that's generally 500% to 1000% greater than the same treatment offered at free-standing clinics. And you better believe that CMS is looking very, very closely at all of this. As for the Canadian study and the subsequent fallout from its publication, the next issue of HMT contains a series of articles which paints a fairly clear picture confirming 's view that the approval process for new indications has little to do with science and everything to do with politics and the politics of medicine. Included is an interview with Dr. Pierre Marois on what really happened in the Collet study. It's absolutely unbelieveable. There's also a an article about the distorted presentation on HBOT given by United Cerebral Palsy (UCP), and the current efforts by UCP to produce an HBOT-for-cp study which is designed to fail. -- Freels 2948 Windfield Circle Tucker, GA 30084-6714 770-491-6776 (phone) 720-234-5757 (fax) mailto:dfreels@... http://www.freelanceforum.org/df _._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._. Join the International Hyperbaric Medical Association http://www.hyperbaricmedicalassociation.org/docs/JOIN_Friends_Apr04.pdf EPSDT decisions http://healthlaw.org/pubs/200308.epsdtdocket.html Unrestricted downloads of 50+ pdf files on HBOT efficacy medicaid/files/ , 2/files/ and http://www.drneubauerhbo.com/papers.htm Download your state EPSDT program http://www.hcfa.gov/medicaid/stateplan/Map.asp by doing a search on the word " ameliorate " . State Medicaid websites http://www.medi-cal.ca.gov/RelSites_Oth_States.asp . Medicaid waiver programs: http://www.geocities.com/HotSprings/Villa/1029/medicaid.html Find a hyperbaric clinic http://www.netnet.net/mums/hbolistAK-FL.htm, http://www.netnet.net/mums/hbolistGA-NC.htm, http://www.netnet.net/mums/hbolistOH-WI.htm HBOT can save billions of dollars and millions of heartaches. Subscribe to by sending a blank email to mailto:medicaid-subscribe Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 15, 2004 Report Share Posted October 15, 2004 It sounds like you are describing crush injury, severed limb or another etiology of the condition defined as " acute traumatic peripheral ischemia " ..so unless a your hand puppet suffered cerebral damage when the wrist was separated from the forearm, the indication couldn't be used to cover a " stroke " in the traditional sense. -Jay Re: [ ] Dr. Sprague Acute traumatic peripheral ischemia, is this a stroke? blue shield will cover this dx....hmm? Freels <dfreels@...> wrote: >you wrote: >Most Medical Centers will not treat brain injury because >> > it is not one of the 14 indications approved by Medicare >> > , based on their consideration that not enough good >> > studies exist that prove that HBOT is effective in brain >> > injury. Medical Centers can only use HBOT for approved >> > indications unless the specific " Off Label " treatment >> > has been approved by the Center's Investigative Review >> Board (IRB). IRB's are typically composed of very >> > conservative physicians. It's not about money, , >> > it's about risk. In this >> > era of " evidence based medicine " , there is only one >> > study that I >> > know of, published by Col. Fitzpatrick about 5 >> > years ago, at the Eisenhower Army Medical Center, >> > showing that HBOT definitively helps with Cerebral >> > Palsy. The recent Canadian study wasn't much help. > >Dr. Sprague, as far as evidence based medicine and studies, >only 4 or 5 of the 14 indications approved by the UHMS had a > " study " . They passed the others simply by sitting around a >table and saying OK, we will approve this one. They could >do the same for brain injury. The Canadian study >absolutely proved that hbot works for CP. In fact, it >proved lower pressures and lower oxygen amounts also produce >results. It was indeed a farce by more medical >professionals thinking they would prove hbot would not work >for cp and it backfired on them. It showed that all >pressures worked. There was NO plecebo group to compare it >with. > > Hartsoe >www.miraclemountain.org Dr. Sprague, The Medicare list of the first 13 indicatons originated from the leadership of the UHMS--who also created the list of noncovered indications. An article was published in *Hyperbaric Medicine Today* (HMT) which details the history of the " covered " and " noncovered " indications. You can download it from http://www.oxyhealth.com/images/noncovered.pdf . The 14th indication for diabetic foot wounds was approved primarily because of the data submitted by IHMA leadership. The data consisted of some 129 articles published in peer-reviewed medical journals over the last 30 years. Adding that one indication has saved the federal government hundreds of millions of dollars in the last two years or so and has created immeasurable credibility for the IHMA with Medicare/CMS while diminishing beyond words whatever credibility the UHMS still had with Medicare/CMS. This circumstance is forcing CMS to finally recognize that when Medicare and Medicaid were created, hospitals (for the most part) were not-for-profit institutions. This is no longer the case. Hospitals are now businesses, and they are most interested in maximizing revenue. For a diabetic with a foot wound, a hospital can realize $150,000 with an amputation, fitting for a prosthetic, and a year or so worth of rehab therapy. Plus, the whole process will probably be repeated with the second foot. However, if the hospital instead provides $20,000 worth of Hyperbaric Oxygen Therapy to save the foot, the hospital's revenue is just over 10% of what it would be for the amputation route. Plus the second foot is also saved. Because the vast majority of hyperbaric clinics are in hospitals, those same clinics are working for the hospital--which means they have the same goals of the hospital--to maximize revenue. It's also quite true that the UHMS dictates to the hospital-based hyperbaric clinics what indications they will or will not treat--at a cost that's generally 500% to 1000% greater than the same treatment offered at free-standing clinics. And you better believe that CMS is looking very, very closely at all of this. As for the Canadian study and the subsequent fallout from its publication, the next issue of HMT contains a series of articles which paints a fairly clear picture confirming 's view that the approval process for new indications has little to do with science and everything to do with politics and the politics of medicine. Included is an interview with Dr. Pierre Marois on what really happened in the Collet study. It's absolutely unbelieveable. There's also a an article about the distorted presentation on HBOT given by United Cerebral Palsy (UCP), and the current efforts by UCP to produce an HBOT-for-cp study which is designed to fail. -- Freels 2948 Windfield Circle Tucker, GA 30084-6714 770-491-6776 (phone) 720-234-5757 (fax) mailto:dfreels@... http://www.freelanceforum.org/df _._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._. _. Join the International Hyperbaric Medical Association http://www.hyperbaricmedicalassociation.org/docs/JOIN_Friends_Apr04.pdf EPSDT decisions http://healthlaw.org/pubs/200308.epsdtdocket.html Unrestricted downloads of 50+ pdf files on HBOT efficacy medicaid/files/ , 2/files/ and http://www.drneubauerhbo.com/papers.htm Download your state EPSDT program http://www.hcfa.gov/medicaid/stateplan/Map.asp by doing a search on the word " ameliorate " . State Medicaid websites http://www.medi-cal.ca.gov/RelSites_Oth_States.asp . Medicaid waiver programs: http://www.geocities.com/HotSprings/Villa/1029/medicaid.html Find a hyperbaric clinic http://www.netnet.net/mums/hbolistAK-FL.htm, http://www.netnet.net/mums/hbolistGA-NC.htm, http://www.netnet.net/mums/hbolistOH-WI.htm HBOT can save billions of dollars and millions of heartaches. Subscribe to by sending a blank email to mailto:medicaid-subscribe Quote Link to comment Share on other sites More sharing options...
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